Vendor Meetings
EDI Vendor Call Notes – 04/17/2008
CODE 1817
Phone Number: 1-877-326-2337
Pass code 2102557
General Information
- We still have a few clients that are trying to submit Medicare A and B claims to BCBSKS. These claims are continuing to reject on the EDI Front End. The edit rejecting is 3001 – Unable to determine route.
- Blue Cross and Blue Shield of Kansas and ASK continues to accept claims for all payers, except Medicare, after March 1, 2008. This includes BCBSKS, BCBSKC, HealthNow NY, PHP, and EDI Midwest Commercial Claims.
- The submission of the Employer's Identification Number, EI qualifier, and/or the Social Security Number, SY qualifier, structure is validated on the EDI Front End.
When submitting an EI with no dash (-) it must be 9 digits long. When submitting an EI with a dash, the dash must be in the third position and the length must be 10 characters.
When submitting an SY with no dashes (-) it must be 9 digits long. When submitting an SY with dashes, a dash must be in the 4th and 7th position and the length must be 11 characters.
NPI Information
- BCBSKS
- Claims –NPI only, or Dual. Trading Partners wanting to send NPI only, must first notify BCBSKS.
- We continue to contact providers with a high volume of NPI rejections. Please assist us in urging providers submit NPI only.
- 05/23/08 – Electronic transaction submitted without an NPI will be rejected. BCBSKS will continue to allow legacy on electronic transactions containing NPI in the billing and rendering provider loops.
- 05/23/2008 Rejections are as follows
- B274B - 2010BB-NM109
- B376B – 2010BB-NM1
- B379B – 2010BB NM1
- B257E – 2310B-NM109
- B061E – 2310B-NM109
- B382 – 2310B-NM109
- B344C - 2310B-NM108
- B258C - 2420A-NM1
- B061D - 2420A-NM1
- B373 - 2310B-NM109
- B383 - 2010BB-NM109
- 2310B-NM109
- 4/06/08 - The following edits were released as warnings. They will become rejections beginning 5/23/2008.
- K002A – Warning No NPI submitted-Reject begins 5/23/2008
- K002A - Warning No NPI submitted-Reject begins 5/23/2008
- 5/23/08 – Claims submitted without an NPI will be rejected. BCBSKC will continue to allow legacy on claims containing NPI in the billing and rendering provider loops.
- EDI Midwest Commercial Claims Clearinghouse
- 4/06/08 – The following edit was released as a warning. It will become a rejection beginning 5/18/2008.
- C002 – No NPI submitted – Begin submitting immediately
- 5/18/08 – Claims submitted without an NPI beginning 5/18 will be rejected. Legacy provider numbers may be submitted as long as an NPI is present in the billing provider loop. Some payers may require the NPI in other loops, but ASK will not edit for NPI in any other loop.
TP Education
- We can't express enough how important it is to have everyone reading reports for rejections and warnings.
System Status Update
- The next system deployment is scheduled for May 18th.
May 22nd.
All Payer Information
- BCBCKC
- All batch processes are working as expected.
- BCBSKS
- All batch processes are working as expected.
- EDI Midwest
- All batch processes are working as expected.
Upcoming events
- KOA - April 24 and 25, 2008 – Topeka, KS
- We have posted our EDI Workshops at:
http://www.ask-edi.com/events/edi_workshop.htm
May 13, 2008
Wesley Medical Center
Wichita, KS
June 17, 2008
St. Catherine Hospital
401 East Spruce
Garden City, KS
June 18, 2008
Fort Hays State University
600 Park St.
Hays, KS
July 17, 2008
North Kansas City Hospital
2800 Clay Edwards Dr.
North Kansas City, MO
July 23, 2008
Blue Cross and Blue Shield of Kansas
Corporate Training Center
1234 Polk St.
Topeka, KS
August 14, 2008
Salina Regional Health Center
400 S. Santa Fe
Salina, KS.
- As a reminder our Marketing Reps available for Provider Community Events
We want to encourage you and your clients to share suggestions and ideas on how EDI Services can better assist. Please send an email to askedi@ask-edi.com. Information posted to the web etc.
Reminder of email addresses and phone numbers
- askedi@ask-edi.com
- 800-472-6481 option 1 = EMS Help Desk
- 800-472-6481 option 2 = Status Messaging Center
- 800-472-6481 option 3 = EDI Marketing
Next call scheduled for 05/15/2008.
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